Provider Demographics
NPI:1679008486
Name:MANIGAT, HENDANE
Entity Type:Individual
Prefix:
First Name:HENDANE
Middle Name:
Last Name:MANIGAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 WHITNEY WAY
Mailing Address - Street 2:APT 202
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-1424
Mailing Address - Country:US
Mailing Address - Phone:954-297-2019
Mailing Address - Fax:
Practice Address - Street 1:1818 WHITNEY WAY
Practice Address - Street 2:APT 202
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-1424
Practice Address - Country:US
Practice Address - Phone:954-297-2019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-30
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst